Physician Employment Contract Deadline: What to Do When They “Need a Decision This Week”

physician employment contract deadline

A physician employment contract deadline can create intense pressure, especially when an employer says they “need a decision this week.” Many physicians worry that asking for more time could cost them the job, but rushing into a contract can lead to serious financial and professional consequences. Before you sign, it’s critical to understand what these deadlines really mean, what rights you have, and how to protect yourself through proper contract review and negotiation.

What a Physician Employment Contract Deadline Really Means

Many times a potential employer will give a physician an offer letter (or, in extreme cases, a full employment contract), and inform the physician that a response is required in a very short timeframe.

In most cases, this is a false deadline. Generally, a physician employment contract deadline is an attempt to get a commitment from the physician. In most cases the purpose of the “deadline” is to assure the physician is serious about the position, and isn’t just “shopping” multiple offers. 

Sometimes the false deadline is a ruse so the physician falls for the line that the document presented is “our standard physician employment contract” that by implication cannot be changed.

Given the time and money that employers spend to recruit physicians, a “deadline” rarely means that the offer will not be available beyond the date given. 

How to Respond to a Physician Employment Contract Deadline

First of all, you should appreciate the implication of a physician employment contract offer with a deadline – they have decided that they want you! The employer has invested considerable time and money in picking you. Although there may be a “#2 choice”, you are the one they want.

After competing their entire lives, many physicians feel they need to continue to compete for this position.  In fact, if the employer has made an offer, the competition is effectively over, and you have won. Now you just need to ensure that the offer is reasonable.

I always counsel my clients that they should inform the potential employer that they are excited about the offer, and hope that this position will be where they spend their career. Because it is important to you, you intend to invest in an attorney to review the document.  Unfortunately (through no fault of yours) the attorney is unable to meet that deadline. Having done this for over 40 years, and reviewing  thousands of physician employment contract reviews, I don’t recall a single instance where the employer stuck to the “deadline.”

If  you’re facing a physician employment contract deadline and want experienced legal guidance before signing, you can start your review here. We can also provide a free consultation to talk about how we can help.

Frequently Asked Questions About Physician Contract Deadlines

Can an employer withdraw an offer if I ask for more time?

Theoretically, an employer could withdraw an offer if the "deadline" isn't met.  However, in my 40 years of experience, that has never happened to one of my clients.

Is a one-week deadline normal?

A very short deadline is sometimes given to rush the physician, or attempt to get them to sign what is presented as a standard contract that can't be changed. However, no employer seriously expects a physician to execute a contract involving hundreds of thousands of dollars without having the agreement reviewed by an attorney.

What resources are available to assist in evaluating a physician employment agreement offer?

Call us biased, but we think every physician should have an experienced law firm perform a physician contract review.

You can also find a host of valuable material on the physician contract blog

For the most extensive treatment of negotiating a physician employment agreement, you could study a book on physician employment agreements.

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Picture of Dennis Hursh

Dennis Hursh

Dennis Hursh has been providing healthcare legal services in Pennsylvania since 1982. Since 1992, he has been a physician's lawyer serving as Managing Partner of Physician Agreements Health Law, the first law firm in the country to focus exclusively on physician employment agreements. Dennis has devoted his life to serving physicians and medical practices. He is the author of the definitive book on physician contracts "The Final Hurdle - a Physician's Guide to Negotiating a Fair Employment Agreement, and a frequent lecturer on physician employment agreements.

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Physician Prosperity Program


How It Works

After purchasing the physician contract review, you will receive an email asking you to transmit the agreement and any concerns you have to me. Many physicians do this by email, but I will be available by phone, too. In three business days from the time you purchase the Physician Prosperity Program® and transmit the draft physician employment agreement along with any concerns you have about the agreement and the information I will need to perform the MGMA analysis, you will receive a detailed physician contract review letter from me.

After you receive my physician contract review letter, you will have the opportunity to discuss it with me, to make sure all of your concerns were met, and to correct any factual inaccuracies, or to point out things that were verbally promised but didn’t make it into the physician employment agreement. These discussions, and revisions of the letter following these discussions, are included in the initial fixed fee.

Once you are completely comfortable with the physician contract review letter, you transmit the letter to your potential employer.